Question

A client with an internally implanted defibrillator should be taught to: A. Avoid driving a car B. Avoid eating food cooked in a microwave C. Refrain from using a cellular phone D. Report swelling at the site

Short answer

Answer: The client should report swelling at the site of the implanted defibrillator.

Step-by-step solution

Understand the Context

An internally implanted defibrillator is a device placed inside a person's body that helps regulate irregular heartbeats or arrhythmias, by delivering an electrical shock to restore normal heart rhythm. It is essential to understand the potential interactions between this device and everyday activities or objects.

Evaluate Option A

Option A suggests that the client should avoid driving a car. While some people with defibrillators might be advised to avoid driving temporarily after the device's implantation, they can typically drive again after a defined period of time without any issues, as long as they feel well. This option does not apply to all clients with a defibrillator.

Evaluate Option B

Option B proposes that clients with defibrillators avoid eating food cooked in a microwave. This statement is not accurate. There is no link between microwaved food and the functioning of an implanted defibrillator.

Evaluate Option C

Option C states that clients should refrain from using a cellular phone. While there is a small risk of electromagnetic interference between a cellphone and a defibrillator, it is not necessary to entirely refrain from using a cell phone. Clients can be advised to keep their phone at least 6 inches away from the defibrillator to minimize any possible interference.

Evaluate Option D

Option D advises clients to report swelling at the site of the implanted defibrillator. Swelling or other signs of discomfort might be an indication of an infection or other complications of the defibrillator. Therefore, it is important for clients to inform their healthcare provider promptly if they experience any such issues.

Conclusion

Based on the evaluation of all four options, the correct answer is D: Report swelling at the site. Clients with an internally implanted defibrillator should be taught to monitor their device's site for any issues or complications and report them to their healthcare provider.